Healthcare Provider Details

I. General information

NPI: 1679452361
Provider Name (Legal Business Name): PEYTON BROWN CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8055 FOURTH ST
NAVARRE FL
32566-7531
US

IV. Provider business mailing address

3535 GULF BREEZE PKWY APT 5200
GULF BREEZE FL
32563-3622
US

V. Phone/Fax

Practice location:
  • Phone: 850-204-8030
  • Fax:
Mailing address:
  • Phone: 334-235-2622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSZ12861
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: